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CERTIFICATE OF LIABILITY INSURANCE (350)
HOM EP-3 OP ID: AF '�� Rd� CERTIFICATE OF LIABILITY INSURANCE °04`15/2014" 04/15/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone:813- 226 -1300 P. 0. Box 173086 of Florida, Inc. Fax: 813 - 226 -1313 Tampa, FL 33672 Mary Jane Gwyn NNAAME. Mary Jane Gwyn 813 - 226 -1313 (NG "N,.E,�t): 813- 2264307 yvc,No): AMD RESS: mgwyn(abbtampa.com A NAIC # 10190 INSURERS) AFFORDING COVERAGE INSURERA: Southern Owners Insurance Co. INSURED Home Performance Alliance, Inc Lana Radowick, CFO 2850 Scherer Dr St Petersburg, FL 33716 INSURER B: 04/04/2014 04/04/2014 INSURER C: EACH OCCURRENCE INSURER D: PREMSES(Eaoccurrence) INSURER E : MED EXP (Any one person) INSURER F: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POUCY NUMBER POUCY EFF IMM /DD/YYYYI POLICY UP IMMIDDMIYYI UMITS A GENERAL X UABIUTY COMMERCIAL GENERAL LIABILITY 12- 0228 - 008325 12- 00228 -00 8325 P , �t ' 04/04/2014 04/04/2014 04/04/2015 04 /04/2015 EACH OCCURRENCE $ 1,000,000 PREMSES(Eaoccurrence) $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 X EPLI 1,000,000 PRODUCTS -COMP/OP AGG $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: X POLICY 'I r —1 LOC $ AUTOMOBILE _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS �--' SCHEDULED NON -OWNED AUTOS L`:_;,r,,,,,'� /�_ , _;;' COMBINED SINGLE LIMIT IEaaccident) $ BODILY INJURY (Per person) $ BODILY INJURY(Peraccident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE F EACH OCCURRENCE $ AGGREGATE $ $ DED RFTFNTON$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under OFSCRIPTION OF OPF RATIONS balow Y I N i N / A 12- 0228 -00 8325 04/04/2014 04 /04/2015 X WC STATU- TORY I IMITS OTH- FR E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYEE $ 500,000 E.L DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) License Holders: Thomas Marie Lippert License #CGC1508826 Randall Mullins License #CBC1252808 CITYCLE City of Clearwater 100 S. Myrtle Avenue Clearwater, FL 33756 i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE � cite, � L 1k . " ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD